The Social Health Authority CEO Dr Mercy Mwangangi has downplayed claims that the Authority is struggling financially.
Speaking on Citizen TV on Tuesday, Mwangangi called on Kenyans to embrace the programme and ensure they pay their premiums on time.
Mwangangi said the Authority has enough resources to pay out claims to hospitals.
"We have enough money and Kenyans should not be anxious, SHA will not fail, we will not sink, we have enough resources to service claims," Mwangangi said.
"We have a system that is clear and transparent and more importantly, we are protecting your money and funds to ensure that you get the service that you need," Mwangangi emphasised.
Mwangangi said a total of Sh82 billion claims have been submitted to date, out of which over Sh10 billion have been rejected.
According to Mwangangi, Kenya generates about Sh90 billion every year through SHA to fund Universal Health Coverage (UHC), reducing dependence on external borrowing.
She explained that under rejections, there are those with missing documents and those under surveillance.
"This morning, my finance team was preparing Sh4.5 billion and another Sh2 billion for payout, and when you look at our collections, it ranges from Sh6 billion to Sh7.3 billion. Yesterday, in our bank account, we had Sh7.3 billion, and we had Sh3 billion claims, so we have enough money," Mwangangi said.
She maintained that no claim will be paid out of the SHA that has not gone through proper verification.
Health CS Adan Duale on Monday said Kenya will generate about Sh90 billion every year through the Social Health Authority (SHA) to fund Universal Health Coverage (UHC), reducing dependence on external borrowing.
Health Cabinet Secretary Aden Duale shared President William Ruto’s remarks on the SHA funding model, which aims to provide sustainable healthcare financing.
“From our own contributions in SHA, we are going to have something like 90 billion every year,” President Ruto said.
The funds will be mobilised locally under a model designed to ensure that all Kenyans contribute fairly while enjoying equal access to health services.
The approach signals a shift towards self-reliance in financing the country’s healthcare system.
Alongside the SHA, the government has secured medical equipment worth more than Sh200 billion through a leasing arrangement. This initiative is meant to equip hospitals across the country without requiring large upfront payments.
